International Journal of Clinical Pediatrics, ISSN 1927-1255 print, 1927-1263 online, Open Access
Article copyright, the authors; Journal compilation copyright, Int J Clin Pediatr and Elmer Press Inc
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Case Report

Volume 14, Number 1, June 2025, pages 7-12


Surgical Repair of an Idiopathic Pediatric Popliteal Artery Aneurysm

Figures

Figure 1.
Figure 1. Coronal multi-planar reconstruction of the lower limb vessels demonstrating the right popliteal pseudoaneurysm (arrow).
Figure 2.
Figure 2. Popliteal pseudoaneurysm visible via posterior surgical approach.
Figure 3.
Figure 3. Interposition graft repair using reversed great saphenous vein.

Table

Table 1. Review of the Literature of Cases of Pediatric Popliteal Artery Aneurysm/Pseudoaneurysm
 
AuthorsAgeGenderClinical presentationSurgical approachSurgical procedurePostoperative antiplatelet/anticoagulation
GSV: great saphenous vein; LMWH: low molecular weight heparin; PTFE: polytetrafluoroethylene.
Current case14FemaleAcute limb ischemiaPosteriorInterposition graft with GSV3 months aspirin
Tolstano et al 2021 [1]5MaleSwelling, visible veins and purplish discolorationMedialInterposition graft with GSVNot specified
Sivaharan et al 2019 [2]6MaleAcutely ischemic footMedialInterposition graft with GSVAt least 3 months LMWH for secondary patency
Abich et al 2021 [3]16MaleAcute knee pain and tightnessPosteriorInterposition graft with GSVNot specified
Megalopoulos et al 2007 [4]4MalePulsatile mass popliteal fossa/foot dropPosteriorInterposition GSVNot specified
Nasir et al 2022 [5]8MaleDull pain behind kneePosteriorContralateral GSVNot specified
Notrica et al 2016 [6]15FemaleAcute leg painMedialInterposition GSVLMWH and aspirin
Perez-Burkhardt et al 2003 [7]14MalePainful, pulsatile massPosteriorPopliteal pseudoaneurysm repair by primary suturing of defectNot specified
Stinnett et al 1987 [8]10FemaleAcute leg painNot specifiedInterposition GSVNot specified
Rangdal et al 2013 [9]8FemalePalpable massNot specifiedPTFE interposition graftNot specified
Pavic et al 2011 [10]14FemalePulsatile massNot specifiedRepair of popliteal pseudoaneurysm/primary suture repairNot specified
Al-Hadidy et al 2007 [11]16MaleSwelling and painNot specifiedExcision of popliteal pseudoaneurysm and GSV interpositionNot specified
Nasr et al 2022 [12]17MaleAcute limb ischemiaPosteriorExcision of popliteal pseudoaneurysm and end to end anastomosisNot specified
Onan et al 2014 [13]12MaleKnee swelling/foot dropMedialExcision of popliteal pseudoaneurysm and primary end to end anastomosisNot specified